NCT06554184

Brief Summary

This study is aimed to evaluate the efficacy and safety of HR20013 versus palonosetron for nausea and vomiting associated with moderate emetic risk anticancer agents

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
706

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Sep 2024

Shorter than P25 for phase_3

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 13, 2024

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 15, 2024

Completed
19 days until next milestone

Study Start

First participant enrolled

September 3, 2024

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 28, 2025

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 3, 2025

Completed
Last Updated

November 17, 2025

Status Verified

October 1, 2025

Enrollment Period

11 months

First QC Date

August 13, 2024

Last Update Submit

November 14, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Complete response rate in the delayed phase

    To compare the rate of subjects achieving complete response (defined as no emetic episode and no need for rescue medication) in the delayed phase after initiation of moderate emetic risk anticancer agents.

    24-120 hours after initiation of moderate emetic risk anticancer agents

Secondary Outcomes (11)

  • Complete response rate in the overall phase.

    0 - 120 hours after initiation of moderate emetic risk anticancer agents

  • Complete response rate in the acute phase.

    0-24 hours after initiation of moderate emetic risk anticancer agents

  • Proportion of subjects with no significant nausea (maximum nausea on a visual analogue scale<25 mm)

    the acute phase (0-24 hours), the delayed phase(24 - 120 hours), and the overall phase (0-120 hours) after initiation of moderate emetic risk anticancer agents, respectively

  • Proportion of subjects with no nausea (maximum nausea on a visual analogue scale<5 mm)

    the acute phase (0-24 hours), the delayed phase(24 - 120 hours), and the overall phase (0-120 hours) after initiation of moderate emetic risk anticancer agents, respectively

  • Proportion of subjects with no emetic

    the acute phase (0-24 hours), the delayed phase(24 - 120 hours), and the overall phase (0-120 hours) after initiation of moderate emetic risk anticancer agents, respectively

  • +6 more secondary outcomes

Study Arms (2)

HR20013 + dexamethasone + palonosetron placebo

EXPERIMENTAL
Drug: HR20013 + dexamethasone + palonosetron placebo

Palonosetron + dexamethasone + HR20013 placebo

ACTIVE COMPARATOR
Drug: Palonosetron + dexamethasone + HR20013 placebo

Interventions

HR20013 + dexamethasone + palonosetron placebo

HR20013 + dexamethasone + palonosetron placebo

Palonosetron + dexamethasone + HR20013 placebo

Palonosetron + dexamethasone + HR20013 placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years of age or older, of either gender
  • Has a histologically or cytologically confirmed malignant disease
  • Naïve to cytotoxic chemotherapy
  • Scheduled to receive first course of moderate emetic risk anticancer agents
  • Predicted life expectancy of ≥ 3 months
  • Has a performance status (ECOG scale) of 0 to 1
  • Adequate organ function
  • female subjects of childbearing potential must have a negative blood pregnancy test within 72 hours before randomization; and must be non-lactating;
  • Able and willing to provide a written informed consent

You may not qualify if:

  • Received or planned to receive total body irradiation, or radiation therapy to the abdomen, pelvis, Whole brain and spinal cord, head and neck , or chest within 7 days before randomization or within Days 1 to 8 of treatment
  • Scheduled to receive any moderate emetic risk anticancer agents from Day 1 to 6
  • Planned to receive treatment with a chemotherapy regimen including ordinary paclitaxel (with castor oil as solvent);
  • Medications with potential antiemetic efficacy within 2 days before randomization;
  • Began using opioids within 7 days prior to randomization or had a dose adjustment within the last 7 days.
  • Systemic corticosteroid therapy or sedative antihistamines within 7 days before randomization;
  • Use of palonosetron within 14 days before randomization;
  • Use of NK-1 receptor antagonists within 28 days before randomization;
  • Use of moderate to strong CYP3A4 inhibitors within 7 days before randomization; use of moderate to strong CYP3A4 inducers or specific CYP2D6 substrates within 28 days before randomization;
  • Vomiting and/or retching and nausea within 24 hours before randomization;
  • Subjects with symptomatic brain metastases, or with any symptoms suggestive of brain metastases or intracranial hypertension;
  • With uncontrolled serosal effusion;
  • Patients with serious cardiovascular diseases;
  • Concurrent uncontrolled hypertension before randomization;
  • Patients with active hepatitis B, active hepatitis C, acquired immunodeficiency syndrome (AIDS) or HIV test positive, and active syphilis test positive;
  • +6 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Sun Yat-sen University Cancer Center Yuexiu Campus

Guangzhou, Guangdong, 510000, China

Location

MeSH Terms

Conditions

Nausea

Interventions

DexamethasonePalonosetron

Condition Hierarchy (Ancestors)

Signs and Symptoms, DigestiveSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

PregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, FluorinatedQuinuclidinesHeterocyclic Compounds, Bridged-RingHeterocyclic CompoundsIsoquinolinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-Ring

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 13, 2024

First Posted

August 15, 2024

Study Start

September 3, 2024

Primary Completion

July 28, 2025

Study Completion

October 3, 2025

Last Updated

November 17, 2025

Record last verified: 2025-10

Locations